This survey is for KSDE to gauge district interest in participating in the Through-Year Curriculum-Directed assessment pilot. Filling out this survey does not guarantee participation in the pilot program.
Section 1 – District Information

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1. District Name

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2. USD Number

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3. Superintendent Name

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5. Superintendent Phone

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6. Primary TYCD Contact (Assessment Coordinator if known)

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7. TYCD Contact Title

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9. TYCD Contact Phone

Section 2 – Statement of Interest

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10. Why is your district interested in participating in the Kansas TYCD Assessment Pilot?

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11. What do you hope to learn or improve through participation?

Section 3 – District Readiness

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12. Has your district adopted High-Quality Instructional Materials for all TYCD assessed grades in ELA and Mathematics?

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13. If yes, list the instructional materials by subject and grade span.

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14. Attach (if available): Board adoption documentation, curriculum list, or other supporting evidence.

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15. Does your district have established PLCs capable of reviewing TYCD data quarterly?

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16. Describe your PLC structure, meeting frequency, participants, and protected collaboration time.

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17. Attach PLC calendars, protocols, or other documentation.

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18. Identify the individual responsible for TYCD administration.

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19. Our district understands participation requires:
  • Four quarterly TYCD administrations each year
  • Dual administration with KAP
  • 95% participation
  • Compliance with IADA requirements

Superintendent acknowledges these expectations:

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20. Does your district maintain written test security procedures?

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21. Describe your procedures.

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22. Attach local test security documentation if available.

Section 4 – District Capacity

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23. Number of participating elementary schools

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24. Number of participating middle schools

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25. Number of participating high schools

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26. Estimated number of participating students in ELA

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27. Estimated number of participating students in math

Section 5 – Implementation Timeline

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28. Preferred implementation year:

Section 6 – District Supports

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29. Which implementation supports would be most valuable?

Section 7 – Superintendent Assurance
By signing below, I certify that the information provided is accurate, the district intends to participate fully if selected, agrees to provide readiness documentation, understands participation is contingent upon KSDE approval, and will work with KSDE to address readiness gaps if needed.

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30. Superintendent Electronic Signature

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31. Date

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